| NPI | 1598197840 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NV 23355) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CO 56463) |
| 207P00000X Emergency Medicine (Licence: TX R4547) | |
| Enumeration Date | 2013-08-08 |
| Last Update Date | 2024-04-26 |